Early Head Start—Home-based option

Model effectiveness research report last updated: 2024

Effects shown in research

Child health

Findings rated high

Knox, V., & Michalopoulos, C. (2023). Mother and Infant Home Visiting Program Evaluation (MIHOPE), United States, 2012-2019. MIHOPE Model Results Documentation [Study 1, EHS contrast]. Inter-University Consortium for Political and Social Research. https://doi.org/10.3886/ICPSR37848.v3.

Early Head Start Home-based option

Show findings details

Table help

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance	Notes
Any Medicaid-paid nonbirth hospitalizations	FavorableUnfavorable or ambiguousNo Effect	15-month follow-up	EHS-HBO vs. Resource referral RCT (MIHOPE); 2012-2014, full sample	537 children	Not reported	Not reported	Difference = -0.06	Study reported = -0.25	Not statistically significant, p ≥ 0.05	The statistical significance after the author's adjustment for multiple comparisons is reported.
Number of Medicaid-paid immunizations	FavorableUnfavorable or ambiguousNo Effect	15-month follow-up	EHS-HBO vs. Resource referral RCT (MIHOPE); 2012-2014, full sample	445 children	Not reported	Not reported	Difference = 0.70	Not available	Not statistically significant, p ≥ 0.05	The statistical significance after the author's adjustment for multiple comparisons is reported.
Primary care provider for the child (%)	FavorableUnfavorable or ambiguousNo Effect	15-month follow-up	EHS-HBO vs. Resource referral RCT (MIHOPE); 2012-2014, full sample	474 children	Not reported	Not reported	Difference = -0.01	Study reported = -0.04	Not statistically significant, p ≥ 0.05	The statistical significance after the author's adjustment for multiple comparisons is reported.

Love, J., Kisker, E., Ross, C. M., Schochet, P. Z., Brooks-Gunn, J., Paulsell, D., et al. (2002). Making a difference in the lives of infants and toddlers and their families: The impacts of Early Head Start. Volumes I-III: Final technical report [and] appendixes [and] local contributions to understanding the programs and their impacts. Washington, DC: U.S. Department of Health and Human Services, Head Start Bureau.

Early Head Start Home-based option

Show findings details

Table help

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance
Any child health services	FavorableUnfavorable or ambiguousNo Effect	28 months after assignment	EHS-HBO impact study	941 mothers	% = 100.00	% = 99.80	= 0.20	Not Applicable	Not statistically significant, p ≥ 0.05
Any dentist visits	FavorableUnfavorable or ambiguousNo Effect	28 months after assignment	EHS-HBO impact study	941 mothers	% = 27.10	% = 28.10	= -1.00	HomVEE calculated = -0.03	Not statistically significant, p ≥ 0.05
Any doctor visits	FavorableUnfavorable or ambiguousNo Effect	28 months after assignment	EHS-HBO impact study	941 mothers	% = 99.00	% = 98.70	= 0.30	HomVEE calculated = 0.16	Not statistically significant, p ≥ 0.05
Any emergency room visits	FavorableUnfavorable or ambiguousNo Effect	28 months after assignment	EHS-HBO impact study	941 mothers	% = 53.40	% = 56.00	= -2.60	HomVEE calculated = -0.06	Not statistically significant, p ≥ 0.05
Any immunizations	FavorableUnfavorable or ambiguousNo Effect	28 months after assignment	EHS-HBO impact study	941 mothers	% = 99.10	% = 98.50	= 0.70	HomVEE calculated = 0.31	Not statistically significant, p ≥ 0.05
Any screening tests	FavorableUnfavorable or ambiguousNo Effect	28 months after assignment	EHS-HBO impact study	941 mothers	% = 62.40	% = 61.00	= 1.40	HomVEE calculated = 0.04	Not statistically significant, p ≥ 0.05

Michalopoulos, C., Faucetta, K., Hill, C. J., Portilla, X., Burrell, L., Lee, H., Duggan, A., & Knox, V. (2019). Impacts on family outcomes of evidence-based early childhood home visiting: Results from the Mother and Infant Home Visiting Program Evaluation (OPRE Report 2019-07). [Study 1-EHS contrast]. U.S. Department of Health and Human Services, Administration for Children and Families, Office of Planning, Research, and Evaluation. https://www.acf.hhs.gov/sites/default/files/documents/opre/mihope_impac….

Early Head Start Home-based option

Show findings details

Table help

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance
Number of Medicaid-paid child emergency department visits (fixed effect random slope analysis)	FavorableUnfavorable or ambiguousNo Effect	15 months old	EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample	445 children	Not reported	Not reported	Difference = 0.30	Not available	Not statistically significant, p= 0.07
Number of Medicaid-paid child emergency department visits (restricted maximum likelihood analysis)	FavorableUnfavorable or ambiguousNo Effect	15 months old	EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample	445 children	Not reported	Not reported	Difference = 0.30	Not available	Not statistically significant, p= 0.26
Number of Medicaid-paid child emergency department visits (split-sample analysis)	FavorableUnfavorable or ambiguousNo Effect	15 months old	EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample	445 children	Not reported	Not reported	Difference = 0.20	Not available	Not statistically significant, p= 0.36
Number of Medicaid-paid well-child visits (fixed effect random slope analysis)	FavorableUnfavorable or ambiguousNo Effect	15 months old	EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample	445 children	Not reported	Not reported	Difference = 0.50	Not available	Not statistically significant, p= 0.06
Number of Medicaid-paid well-child visits (restricted maximum likelihood analysis)	FavorableUnfavorable or ambiguousNo Effect	15 months old	EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample	445 children	Not reported	Not reported	Difference = 0.40	Not available	Not statistically significant, p= 0.23
Number of Medicaid-paid well-child visits (split-sample analysis)	FavorableUnfavorable or ambiguousNo Effect	15 months old	EHS-HBO vs. Resource referral RCT (MIHOPE), 2012-2014, United States, full sample	445 children	Not reported	Not reported	Difference = 0.10	Not available	Not statistically significant, p= 0.64

Findings rated moderate

Early Head Start Home-based option

Show findings details

Table help

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance
Child’s health status	FavorableUnfavorable or ambiguousNo Effect	Age 3	EHS-HBO impact sample	950 children	Adjusted mean = 4.00	Adjusted mean = 4.00	Mean difference = 0.00	Study reported = -0.04	Not statistically significant, p ≥ 0.05
Percentage of children in fair or poor health	FavorableUnfavorable or ambiguousNo Effect	Age 3	EHS-HBO impact sample	950 children	% = 9.80	% = 9.60	Mean difference = 0.20	Study reported = 0.01	Not statistically significant, p ≥ 0.05

Love, J., Kisker, E., Ross, C., Schochet, P., Brooks-Gunn, J., Boller, K., et al. (2001). Building their futures: How Early Head Start programs are enhancing the lives of infants and toddlers in low-income families. Summary report. Report to Commissioner’s Office of Research and Evaluation, Head Start Bureau, Administration on Children, Youth and Families, and Department of Health and Human Services. Princeton, NJ: Mathematica Policy Research.

Early Head Start Home-based option

Show findings details

Table help

Outcome measure	Effect	Follow-up timing	Sample	Sample size	Intervention group	Comparison group	Group difference	Effect size	Statistical significance
Any child health services	FavorableUnfavorable or ambiguousNo Effect	7 to 16 months after assignment	EHS-HBO impact sample	1059 mothers	% = 99.10	% = 99.60	= -0.50	HomVEE calculated = -0.05	Not statistically significant, p ≥ 0.05
Any dentist visits	FavorableUnfavorable or ambiguousNo Effect	7 to 16 months after assignment	EHS-HBO impact sample	1059 mothers	% = 10.70	% = 10.80	= -0.10	HomVEE calculated = -0.01	Not statistically significant, p ≥ 0.05
Any doctor visits	FavorableUnfavorable or ambiguousNo Effect	7 to 16 months after assignment	EHS-HBO impact sample	1059 mothers	% = 93.60	% = 93.40	= 0.20	HomVEE calculated = 0.02	Not statistically significant, p ≥ 0.05
Any emergency room visits	FavorableUnfavorable or ambiguousNo Effect	7 to 16 months after assignment	EHS-HBO impact sample	1059 mothers	% = 41.30	% = 43.20	= -1.90	HomVEE calculated = -0.05	Not statistically significant, p ≥ 0.05
Any immunizations	FavorableUnfavorable or ambiguousNo Effect	7 to 16 months after assignment	EHS-HBO impact sample	1059 mothers	% = 96.30	% = 97.90	= -1.60	HomVEE calculated = -0.35	Not statistically significant, p ≥ 0.05
Any screening tests	FavorableUnfavorable or ambiguousNo Effect	7 to 16 months after assignment	EHS-HBO impact sample	1059 mothers	% = 52.40	% = 49.40	= 3.00	HomVEE calculated = 0.07	Not statistically significant, p ≥ 0.05

View Revisions